Healthcare Provider Details

I. General information

NPI: 1992952097
Provider Name (Legal Business Name): HEALTHLINK ASSOCIATES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2008
Last Update Date: 08/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6071 W OUTER DR
DETROIT MI
48235-2624
US

IV. Provider business mailing address

PO BOX 20263 C/O RMS
FERNDALE MI
48220
US

V. Phone/Fax

Practice location:
  • Phone: 313-850-8435
  • Fax:
Mailing address:
  • Phone: 313-850-8435
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License NumberSK062464
License Number StateMI

VIII. Authorized Official

Name: FELISA BARGAINER
Title or Position: MEDICAL BILLING SUPERVISOR
Credential:
Phone: 313-850-8435